@media print {
 input { display:none; }
 body {
	font-family: Arial;
	font-size: 15pt;
	}
	
}

@media screen{ 
	
 body{
    background: url(../img/tlo.jpg) no-repeat 2cm 2mm ; 
	min-height:1150px;	
	font-family: Arial;
 	}
}
input {position: fixed;}

div#adres {
 position: absolute; 
 margin-left: 13cm;
 margin-top: 23mm;
 font-size: 15pt; 
 }
 
 div#nfz{
  position: absolute; 
  margin-left: 8cm;
  margin-top:38mm;
   font-size: 15pt; 
 }
 
 div#kreska{
  position: absolute; 
  margin-left: 5cm;
  margin-top:18mm;
  font-size: 13pt; 
 }
 
  div#imie{
  position: absolute; 
  margin-left: 35mm;
  margin-top:78mm;
  font-size: 15pt; 
 }
 
 div#pacjentadres{
  position: absolute; 
  margin-left: 55mm;
  margin-top:88mm;
  font-size: 15pt; 
 }
 
 div#telefon{
  position: absolute; 
  margin-left: 30mm;
  margin-top:97mm;
  font-size: 15pt; 
 }
 
 div#dataurodzenia{
  position: absolute; 
  margin-left: 120mm;
  margin-top:97mm;
  font-size: 15pt; 
 }
 
  div#pesel{
  position: absolute; 
  margin-left: 165mm;
  margin-top:97mm;
  font-size: 15pt; 
 }
 
  div#data{
  position: absolute; 
  margin-left: 110mm;
  margin-top:165mm;
  font-size: 15pt; 
 }
 